Healthcare quality is declining and soaring costs are crushing American families and businesses. At Garner, we’ve developed a revolutionary approach to evaluating doctor performance and a unique incentive model that's reshaping the healthcare economy to ensure everyone can afford high quality care. By providing organizations relief from surging healthcare costs, we've experienced rapid adoption in the market and have more than doubled our revenue annually over the last 5 years, becoming the fastest growing company in our space. To support our continued growth, we're expanding our team by over 50% each year, seeking exceptional talent to shape our unique, award winning culture (for example, USA Today Top Workplaces 2025) designed to cultivate teamwork, trust, autonomy, exceptional results, and individual growth that creates an inflection point in your career.
Garner's mission is to transform the healthcare economy, delivering high quality and affordable care for all. By helping employers restructure their healthcare benefit to provide clear incentives and data-driven insights, we get employees to higher quality and lower cost healthcare providers. The result is that patients get better health outcomes while doctors are rewarded for practicing well, not performing more procedures. We are backed by top-tier venture capital firms, are growing rapidly and looking to expand our team.
We’re looking for a Senior Backend Engineer who is excited about our mission, can deliver across the tech stack, and is eager to learn and apply new techniques and technologies. This role reports to the Engineering Manager of our Payments team.
Responsibilities will include:
- Building and maintaining the back-end services that power Garner’s core business
- Participating in an on-call rotation by responding to system outages and support escalations from internal stakeholders
- Collaborate across disciplines to provide timely and accurate technical designs, work estimates, and answers to technical questions
- Protect our users’ privacy and security through best practices
- Design and optimize for the long term while moving fast and iteratively deliver for the short term
- Ideate on new features and work with data to find new insights
- Research and work with the latest tools and technologies
- Collaborate using our tech stack, including Python, AWS, NATS, Terraform, Postgres, ElasticSearch, Snowflake, and Kubernetes.
Our ideal candidate has:
- 5+ years of industry experience building and maintaining scalable high-quality software
- Experience building building both event-driven and request-driven microservices
- Strong proficiency in Python is required
- Familiarity with TypeScript is a bonus, but not required
- A strong understanding of the AWS menu of services
- Hands-on experience with SQL
- Experience deploying, supporting, operating, and scaling applications running on Kubernetes
- Familiarity working in cross-functional teams using Agile practices including sprints
- A willingness to “roll up your sleeves” and do whatever is necessary to ensure company success
- Experience working in a rapidly evolving startup environment
- A desire to be a part of our mission to improve the U.S. healthcare system
- Authorized to work lawfully in the United States of America as Garner does not engage in immigration sponsorship at this time
What we look for at Garner:
- Mission First: Our mission is to transform our healthcare system, delivering high quality and affordable care to all. Everything else is secondary.
- Expect Extraordinary: Our mission is audacious, so we will only succeed by producing exceptional results. We continually push ourselves and each other to new heights and beyond our comfort zones.
- Courageous Communication: Transparency and candor are imperative to realizing our potential as an organization and as individuals—even when uncomfortable. Many companies talk about these values. We live them.
- Supportive community: We know that people do their best work and learn the most when they feel genuinely supported and cared for. It’s also more fun that way.
The target salary range for this position is: $180,000-$220,000 Individual compensation for this role will depend on a variety of factors including qualifications, skills and applicable laws. In addition to base compensation this role is eligible to participate in our equity incentive and competitive benefits plans.
Fraud and Security Notice:
Please be aware of recent job scam attempts. Our recruiters use getgarner.com email domain exclusively. If you have been contacted by someone claiming to be a Garner recruiter or a hiring manager from a different domain about a potential job, please report it to law enforcement here and to [email protected].
Equal Employment Opportunity:
Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics.
Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at [email protected].
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